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M9480641.TXT
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1994-08-20
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Document 0641
DOCN M9480641
TI Consistent condom use in relationships between seropositive injecting
drug users and sex partners who do not inject drugs.
DT 9410
AU Friedman SR; Jose B; Neaigus A; Goldstein M; Curtis R; Ildefonso G; Mota
P; Des Jarlais DC; National Development and Research Institutes (NDRI),
Inc., New; York, NY 10013.
SO AIDS. 1994 Mar;8(3):357-61. Unique Identifier : AIDSLINE MED/94304557
AB OBJECTIVES: To study how condom use in injecting drug users' (IDU)
relationships differs according to whether they are HIV-infected, and to
whether their sex partner is an IDU. DESIGN AND METHODS: A total of 317
street-recruited IDU were HIV-antibody tested and interviewed about 421
relationships with particular sex partners. RESULTS: Condoms were
consistently (100%) used in sex between partners (during the previous 30
days) in 33% of these relationships, and their use was significantly
more frequent in relationships of seropositive IDU and in relationships
with non-IDU partners. In relationships between seropositive IDU and
non-IDU, consistent condom use was reported to be high (68%); this
remained unchanged under multivariate controls. CONCLUSIONS:
Self-reported condom use by IDU in New York, with its relatively mature
epidemic, appears to be concentrated where it may most reduce the spread
of HIV to non-IDU heterosexuals, i.e., in relationships between infected
IDU and non-IDU partners. Differential condom use by serostatus and by
partners' drug injection should be incorporated into mathematical models
of the HIV epidemic. Causes of the high level of condom use in this
subset of relationships may include drug injector altruism and pressure
by sex partners; prevention programs should develop ways to use both of
these factors to motivate increased condom use.
DE Adult Condoms/*UTILIZATION Female Human HIV Infections/TRANSMISSION
HIV Seropositivity/*COMPLICATIONS/EPIDEMIOLOGY/PSYCHOLOGY Male New
York City/EPIDEMIOLOGY Questionnaires Sex Behavior *Sexual
Partners/PSYCHOLOGY Substance Abuse,
Intravenous/*COMPLICATIONS/PSYCHOLOGY Support, U.S. Gov't, P.H.S.
JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).